Steerable laser probe

• US 9,364,371 B2
• Filed: 11/29/2015
• Issued: 06/14/2016
• Est. Priority Date: 09/23/2012
• Status: Active Grant

• Current Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Original Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Inventors: Scheller, Gregg D, Zeid, Matthew N, Raney, Justin M
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US14/953,393
• Publication Number:
  US 20160074223A1
• Time in Patent Office: 198 Days
• Field of Search: 606/16
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00158 using magnetic field
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61F 2009/00897 Scanning mechanisms or algorithms
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00802 for photoablation
• CPC Class Codes: A61F 9/00821 for coagulation
• CPC Class Codes: A61F 9/00823 Laser features or special beam parameters therefor

Abstract

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, an actuation control of the handle, a housing tube having a housing tube distal end and a housing tube proximal end, a first housing tube portion having a first stiffness, a second housing tube portion having a second stiffness, an optic fiber disposed within an inner portion of the handle and the housing tube, and a cable disposed within the housing tube and the actuation control. A rotation of the actuation control may be configured to gradually curve the housing tube and the optic fiber. A rotation of the actuation control may be configured to gradually straighten the housing tube and the optic fiber.

Claims

1. An instrument comprising:

a handle having a handle distal end and a handle proximal end;

a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end;

a handle base of the handle having a handle base distal end and a handle base proximal end;

an actuation control mount of the handle having an actuation control mount distal end and an actuation control mount proximal end wherein the actuation control mount distal end is disposed in the handle base and wherein the actuation control mount proximal end is disposed in the handle end cap;

an actuation control of the handle having an actuation control distal end, an actuation control proximal end, an actuation control anterior end, and an actuation control posterior end, the actuation control disposed within the actuation control mount wherein an application of a first force vector directed towards the handle distal end and away from the handle proximal end to the actuation control anterior end is configured to rotate the actuation control in a first direction and wherein an application of a second force vector directed towards the handle proximal end and away from the handle distal end to the actuation control anterior end is configured to rotate the actuation control in a second direction;

an actuation chamber disposed in the actuation control, the actuation chamber extending completely from the actuation control distal end to the actuation control proximal end;

a housing tube having a housing tube distal end and a housing tube proximal end, the housing tube having dimensions configured to perform microsurgical procedures; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the housing tube, an inner portion of the handle, and the actuation chamber wherein a geometry of the actuation chamber is configured to prevent a contact between a portion of the actuation control and a portion of the optic fiber due to a rotation of the actuation control and wherein the optic fiber distal end is adjacent to the housing tube distal end.

2. The instrument of claim 1 wherein a rotation of the actuation control in the first direction is configured to curve the optic fiber.

3. The instrument of claim 2 wherein the rotation of the actuation control in the first direction is configured to curve the optic fiber at least 45 degrees relative to the housing tube proximal end.

4. The instrument of claim 2 wherein the rotation of the actuation control in the first direction is configured to curve the housing tube.

5. The instrument of claim 1 wherein a rotation of the actuation control in the first direction is configured to straighten the optic fiber.

6. The instrument of claim 5 wherein the rotation of the actuation control in the first direction is configured to straighten the optic fiber at least 45 degrees relative to the housing tube proximal end.

7. The instrument of claim 5 wherein the rotation of the actuation control in the first direction is configured to straighten the housing tube.

8. The instrument of claim 1 wherein a rotation of the actuation control in the second direction is configured to curve the optic fiber.

9. The instrument of claim 8 wherein the rotation of the actuation control in the second direction is configured to curve the optic fiber at least 45 degrees relative to the housing tube proximal end.

10. The instrument of claim 8 wherein the rotation of the actuation control in the second direction is configured to curve the housing tube.

11. The instrument of claim 1 wherein a rotation of the actuation control in the second direction is configured to straighten the optic fiber.

12. The instrument of claim 11 wherein the rotation of the actuation control in the second direction is configured to straighten the optic fiber at least 45 degrees relative to the housing tube proximal end.

13. The instrument of claim 11 wherein the rotation of the actuation control in the second direction is configured to straighten the housing tube.

14. The instrument of claim 1 further comprising:

an auto-fixing component of the handle.

15. The instrument of claim 14 wherein the auto-fixing component is configured to temporarily fix the actuation control in a first rotational position in the first direction.

16. The instrument of claim 15 wherein temporarily fixing the actuation control in the first rotational position in the first direction is configured to temporarily fix the optic fiber in a first curved position relative to the housing tube proximal end.

17. The instrument of claim 16 wherein the auto-fixing component is configured to temporarily fix the actuation control in a second rotational position in the first direction and wherein temporarily fixing the actuation control in the second rotational position in the first direction is configured to temporarily fix the optic fiber in a second curved position relative to the housing tube proximal end.

18. The instrument of claim 14 wherein the auto-fixing component is configured to temporarily fix the actuation control in a first rotational position in the second direction.

19. The instrument of claim 18 wherein temporarily fixing the actuation control in the first rotational position in the second direction is configured to temporarily fix the optic fiber in a first curved position relative to the housing tube proximal end.

20. The instrument of claim 19 wherein the auto-fixing component is configured to temporarily fix the actuation control in a second rotational position in the second direction and wherein temporarily fixing the actuation control in the second rotational position in the second direction is configured to temporarily fix the optic fiber in a second curved position relative to the housing tube proximal end.